| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
37,259 |
26,876 |
$904K |
| E0601 |
Continuous positive airway pressure (cpap) device |
14,443 |
11,714 |
$394K |
| E0466 |
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
2,746 |
1,664 |
$394K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
11,176 |
9,288 |
$118K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
21,920 |
15,760 |
$113K |
| A7030 |
Full face mask used with positive airway pressure device, each |
3,872 |
2,818 |
$108K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,452 |
2,606 |
$75K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
4,069 |
3,012 |
$56K |
| A7031 |
Face mask interface, replacement for full face mask, each |
3,623 |
2,563 |
$43K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
2,445 |
1,816 |
$40K |
| E1392 |
Portable oxygen concentrator, rental |
4,375 |
3,102 |
$31K |
| E0261 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
4,205 |
3,074 |
$29K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
1,701 |
1,333 |
$28K |
| E0570 |
Nebulizer, with compressor |
11,211 |
8,932 |
$28K |
| A7035 |
Headgear used with positive airway pressure device |
4,376 |
3,231 |
$28K |
| E1130 |
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
3,521 |
3,089 |
$26K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
482 |
387 |
$24K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
8,281 |
6,093 |
$19K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,907 |
2,176 |
$14K |
| A7037 |
Tubing used with positive airway pressure device |
3,111 |
2,291 |
$14K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
785 |
593 |
$11K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
1,308 |
934 |
$8K |
| E0149 |
Walker, heavy duty, wheeled, rigid or folding, any type |
856 |
667 |
$4K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
552 |
390 |
$4K |
| E0156 |
Seat attachment, walker |
781 |
604 |
$3K |
| E1260 |
Lightweight wheelchair, detachable arms (desk or full length) swing away detachable footrest |
360 |
277 |
$2K |
| E0184 |
Dry pressure mattress |
97 |
76 |
$2K |
| K0001 |
Standard wheelchair |
4,593 |
3,810 |
$2K |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
294 |
240 |
$1K |
| E1290 |
Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest |
143 |
92 |
$1K |
| E0990 |
Wheelchair accessory, elevating leg rest, complete assembly, each |
956 |
739 |
$1K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
49 |
37 |
$862.33 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
252 |
193 |
$520.97 |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
189 |
129 |
$468.67 |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
29 |
15 |
$449.02 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
94 |
50 |
$389.34 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
78 |
47 |
$339.80 |
| E2611 |
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
35 |
16 |
$332.24 |
| A7036 |
Chinstrap used with positive airway pressure device |
67 |
56 |
$317.76 |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
21 |
12 |
$281.73 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
68 |
41 |
$190.51 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
1,377 |
1,151 |
$91.48 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
210 |
169 |
$57.62 |
| E1353 |
Regulator |
166 |
143 |
$31.46 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
228 |
193 |
$24.29 |
| A4616 |
Tubing (oxygen), per foot |
33 |
27 |
$0.16 |
| K0800 |
Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds |
79 |
72 |
$0.00 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
1,695 |
1,128 |
$0.00 |
| K0006 |
Heavy duty wheelchair |
16 |
13 |
$0.00 |
| K0003 |
Lightweight wheelchair |
200 |
175 |
$0.00 |
| A4615 |
Cannula, nasal |
77 |
53 |
$0.00 |
| K0823 |
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
17 |
17 |
$0.00 |